Saaf Sarra, Miqdadi Amal, Merzouk Fatima-Zahra, El Aidaoui Karim, Hazim Asmaa
Neurology, Cheikh Khalifa International University Hospital, Mohamed VI University of Health Sciences, Casablanca, MAR.
Cardiology, Cheikh Khalifa University Hospital, Mohamed VI University of Health Sciences, Casablanca, MAR.
Cureus. 2022 May 6;14(5):e24792. doi: 10.7759/cureus.24792. eCollection 2022 May.
An ischemic stroke is characterized by the brutal installation of a focal functional deficit. Myxomas are the most common primitive cardiac tumors. Neurological manifestations of myxomas are mostly related to cardioembolic events, either caused by a migrating fragment of the tumor or by an attached clot that got detached from the tumor This article describes the case of a 55-year-old male who presented with an ischemic stroke of the vertebrobasilar territory. Cardiac exploration revealed the presence of a cardiac mass. The patient was surgically treated and the anatomopathological study confirmed the diagnosis of cardiac myxoma. This case emphasizes the obligation to research the etiology of ischemic strokes, and more importantly the realization of a complete cardiologic exploration.
缺血性中风的特征是突然出现局灶性功能缺损。黏液瘤是最常见的原发性心脏肿瘤。黏液瘤的神经学表现大多与心脏栓塞事件有关,这些事件要么由肿瘤的迁移碎片引起,要么由从肿瘤上脱落的附着血栓引起。本文描述了一名55岁男性患者,他出现了椎基底动脉区域的缺血性中风。心脏检查发现有心脏肿块。患者接受了手术治疗,解剖病理学研究证实了心脏黏液瘤的诊断。该病例强调了研究缺血性中风病因的必要性,更重要的是要进行全面的心脏检查。